Abstract：
OBJECTIVE: Alzheimer\'s disease is a prominent neurodegenerative disorder characterized by cognitive decline and memory loss. Variations in subjective cognitive decline among Alzheimer\'s patients, often reported by caregiver, may stem from cultural, socioeconomic, healthcare access, and genetic factors. This study investigates racial disparities in subjective cognitive decline reported by caregivers and their implications.
METHODS: In this study, data from 12,627 Alzheimer\'s caretakers from the CDC\'s Alzheimer\'s Disease and Healthy Aging Data Portal were analyzed using JMP software. Caregivers reported patients\' cognitive decline for various racial categories: Asian/Pacific Islander, Black, Hispanic, Native American/Native Alaskan, and White. Fit model tests and distribution analyses were employed to assess disparities in symptom severity. The study focused on four key questions regarding symptom prevalence and healthcare communication to assess the degree of symptoms the patients were experiencing.
RESULTS: Significant disparities in symptom severity reported by Alzheimer\'s caretakers were observed among the racial groups analyzed. The symptom severity ranked from least to most severe is the following: White, Asian/Pacific Islander, Black, Native American/Native Alaskan, and Hispanic patients. There was variance when it came to communication with healthcare providers, as the Asian population had the lowest communication rates. These findings underscore the need for targeted interventions considering cultural differences. It is important that tailoring healthcare approaches for different racial backgrounds is happening as a remedy to this gap in communication.
CONCLUSIONS: Due to cultural, socioeconomic, genetic factors, and others, there were significant observed disparities. Tailoring interventions to these diverse populations is crucial to address these inequities.
METHODS: In this study, data from 12,627 Alzheimer\'s caretakers from the CDC\'s Alzheimer\'s Disease and Healthy Aging Data Portal were analyzed using JMP software. Caregivers reported patients\' cognitive decline for various racial categories: Asian/Pacific Islander, Black, Hispanic, Native American/Native Alaskan, and White. Fit model tests and distribution analyses were employed to assess disparities in symptom severity. The study focused on four key questions regarding symptom prevalence and healthcare communication to assess the degree of symptoms the patients were experiencing.
RESULTS: Significant disparities in symptom severity reported by Alzheimer\'s caretakers were observed among the racial groups analyzed. The symptom severity ranked from least to most severe is the following: White, Asian/Pacific Islander, Black, Native American/Native Alaskan, and Hispanic patients. There was variance when it came to communication with healthcare providers, as the Asian population had the lowest communication rates. These findings underscore the need for targeted interventions considering cultural differences. It is important that tailoring healthcare approaches for different racial backgrounds is happening as a remedy to this gap in communication.
CONCLUSIONS: Due to cultural, socioeconomic, genetic factors, and others, there were significant observed disparities. Tailoring interventions to these diverse populations is crucial to address these inequities.
摘要：
目的：阿尔茨海默病是一种以认知功能减退和记忆力减退为特征的神经退行性疾病。阿尔茨海默病患者主观认知能力下降的变化，经常由看护者报告，可能源于文化，社会经济,医疗保健访问，和遗传因素。这项研究调查了护理人员报告的主观认知能力下降的种族差异及其含义。
方法：在本研究中，使用JMP软件分析了来自CDC阿尔茨海默病和健康衰老数据门户的12,627名阿尔茨海默病护理人员的数据。看护者报告患者认知能力下降的不同种族类别：亚洲/太平洋岛民，黑色,西班牙裔,美洲原住民/阿拉斯加原住民,和白色。采用拟合模型测试和分布分析来评估症状严重程度的差异。该研究集中在有关症状患病率和医疗保健沟通的四个关键问题上，以评估患者所经历的症状程度。
结果：在所分析的种族群体中，观察到阿尔茨海默病看护者报告的症状严重程度存在显著差异。从最小到最严重的症状严重程度如下：白色，亚洲/太平洋岛民，黑色,美洲原住民/阿拉斯加原住民,和西班牙裔患者。与医疗保健提供者的沟通存在差异，因为亚洲人口的交流率最低。这些发现强调了考虑文化差异的针对性干预措施的必要性。重要的是，针对不同种族背景的医疗保健方法正在发生，以弥补这种沟通差距。
结论：由于文化，社会经济,遗传因素,和其他人,有显著的观察差异。为这些不同的人群量身定制干预措施对于解决这些不平等现象至关重要。
方法：在本研究中，使用JMP软件分析了来自CDC阿尔茨海默病和健康衰老数据门户的12,627名阿尔茨海默病护理人员的数据。看护者报告患者认知能力下降的不同种族类别：亚洲/太平洋岛民，黑色,西班牙裔,美洲原住民/阿拉斯加原住民,和白色。采用拟合模型测试和分布分析来评估症状严重程度的差异。该研究集中在有关症状患病率和医疗保健沟通的四个关键问题上，以评估患者所经历的症状程度。
结果：在所分析的种族群体中，观察到阿尔茨海默病看护者报告的症状严重程度存在显著差异。从最小到最严重的症状严重程度如下：白色，亚洲/太平洋岛民，黑色,美洲原住民/阿拉斯加原住民,和西班牙裔患者。与医疗保健提供者的沟通存在差异，因为亚洲人口的交流率最低。这些发现强调了考虑文化差异的针对性干预措施的必要性。重要的是，针对不同种族背景的医疗保健方法正在发生，以弥补这种沟通差距。
结论：由于文化，社会经济,遗传因素,和其他人,有显著的观察差异。为这些不同的人群量身定制干预措施对于解决这些不平等现象至关重要。
